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IXP

Phase 2

Focal Segmental Glomerulosclerosis (FSGS) | Small molecule | Nephrology |Vertex Pharmaceuticals Incorporated|Trials Updated: Oct 15, 2026

IXP development status

Highest phase Phase 2 (NCT04340362)
Phase scored for VRTXPhase 1
Registered trials 6 across 1 sponsor since Apr 2020

IXP target and mechanism

ModalitySmall molecule

Also known as VX-147, Inaxaplin

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials6
Total Enrollment653

FDA Designations

No designations recorded

IXP clinical trials

IXP · 6 trials · 4 indications

Phase 2 3Phase 1 3
NCT06794996Inaxaplin in Participants With Proteinuric APOL1 Mediated Kidney Disease With or Without ComorbiditiesProteinuric Kidney Disease
COMPLETED42 Analytics
NCT05312879Phase 2/3 Adaptive Study of VX-147 in Adult and Pediatric Participants With APOL1-Mediated Proteinuric Kidney DiseaseProteinuric Kidney Disease
ACTIVE NOT_RECRUITING522 Analytics
NCT04340362Phase 2a Study of VX-147 in Adults With APOL1-mediated Focal Segmental GlomerulosclerosisGlomerulosclerosis, Focal Segmental
COMPLETED16 Analytics
PHASE2COMPLETED
Inaxaplin in Participants With Proteinuric APOL1 Mediated Kidney Disease With or Without Comorbidities
Proteinuric Kidney DiseaseUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Phase 2/3 Adaptive Study of VX-147 in Adult and Pediatric Participants With APOL1-Mediated Proteinuric Kidney Disease
Proteinuric Kidney DiseaseUnlock trial analytics
PHASE2COMPLETED
Phase 2a Study of VX-147 in Adults With APOL1-mediated Focal Segmental Glomerulosclerosis
Glomerulosclerosis, Focal SegmentalUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change in Urine Albumin-Creatinine Ratio (UACR)
Baseline and At Week 13
Part A: Percent Change From Baseline in Urine Protein to Creatinine Ratio (UPCR) at Week 48 (Assessed at the Week 48 Interim Analysis)
From Baseline to Week 48
Part A: Estimated Glomerular Filtration Rate (eGFR) Slope Assessed at Interim Analysis
From Baseline Through >= Week 48
Part A: eGFR Slope Assessed at Final Analysis
From Baseline Through Study Completion (At least 2 years of eGFR data assessed at the final analysis)
Part B: Safety and Tolerability as Assessed by Number of Participants With Adverse events (AEs) and Serious Adverse Events (SAEs)
Day 1 Through Study Completion (Approximately 4 Years After the Last Participant Enrolls)
Percent Change From Baseline in UPCR
From Baseline up to Week 13
Maximum Observed Plasma Concentration (Cmax) of IXP
From Day 1 up to Day 10
Area Under the Concentration Versus Time Curve From the Time of Dosing Extrapolated to Infinity (AUC0-inf) of IXP
From Day 1 up to Day 10
Maximum Observed Plasma Concentration (Cmax) of VX-147 Test Compared to VX-147 Reference
From Day 1 up to Day 16
Area Under the Concentration Versus Time Curve From the Time of Dosing Extrapolated to Infinity (AUC0-inf) of VX-147 Test Compared to VX-147 Reference
From Day 1 up to Day 16
Cmax of VX-147 Test Compared Under Fed Versus Fasted State
From Day 1 up to Day 16
AUC(0-inf) of VX-147 Test Compared Under Fed Versus Fasted State
From Day 1 up to Day 16

Secondary Endpoints

Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Baseline Up To Week 17
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse events (AEs) and Serious Adverse Events (SAEs)
Day 1 Through Study Completion (Approximately 2 Years After the Last Participant Enrolls)
Part A: Maximum Plasma Concentration (Cmax) of VX-147
Day 1 and Week 40
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IXP (Inaxaplin)EXPERIMENTALParticipants with proteinuric APOL1-mediated kidney disease (AMKD) with or without the comorbidity of Type 2 diabetes mellitus (T2DM) will receive a single dose of IXP once daily, for 13 weeks.
Part A (Phase 2/3): VX-147EXPERIMENTALParticipants will be randomized to receive different doses of VX-147. Participants will receive the selected dose of VX-147 for atleast 96 weeks.
Part A (Phase 2/3): PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to VX-147.
Part B (Phase 3): VX-147EXPERIMENTALParticipants who complete Part A will receive VX-147 for an additional 96 weeks.
VX-147EXPERIMENTALAll participants received VX-147 at a dosage of 15 mg once daily (qd) for 2 weeks and VX-147 at a dosage of 45 mg qd for 11 weeks. Part A was enrolled in 2 cohorts: Cohort 1 and Cohort 2. Cohort 1 included participants with urine protein to creatinine ratio (UPCR) approximately greater than or equal to (≥) 3 g/g (± 10%) and less than (\<) 10 g/g and estimated glomerular filtration rate (eGFR) approximately ≥30 mL/min/1.73 m2 (± 10%). Cohort 2 included participants with UPCR approximately ≥0.8 g/g (± 10%) and \<2.7 g/g and eGFR approximately ≥30 mL/min/1.73 m2.
Cohort 1: Mild Hepatic ImpairmentEXPERIMENTALParticipants will receive a single dose of IXP on Day 1.
Cohort 2: Matched Healthy ParticipantsEXPERIMENTALHealthy participants matched to Cohort 1 will receive a single dose of IXP on Day 1.
Cohort 3: Moderate Hepatic ImpairmentEXPERIMENTALParticipants will receive a single dose of IXP on Day 1.
Cohort 4: Matched Healthy ParticipantsEXPERIMENTALHealthy participants matched to Cohort 3 will receive a single dose of IXP on Day 1.
Sequence A: VX-147EXPERIMENTALParticipants will receive VX-147 reference tablet under fasted condition in Treatment Period 1, then VX-147 test tablet under fed condition in Treatment Period 2, and VX-147 test tablet under fasted condition in Treatment Period 3. A washout period of 5 days will be maintained between 3 treatment periods.
Sequence B: VX-147EXPERIMENTALParticipants will receive VX-147 test tablet under fed condition in Treatment Period 1, then VX-147 test tablet under fasted condition in Treatment Period 2, and VX-147 reference tablet under fasted condition in Treatment Period 3. A washout period of 5 days will be maintained between 3 treatment periods.
Sequence C: VX-147EXPERIMENTALParticipants will receive VX-147 test tablet under fasted condition in Treatment Period 1, then VX-147 reference tablet under fasted condition in Treatment Period 2, and VX-147 test tablet under fed condition in Treatment Period 3. A washout period of 5 days will be maintained between 3 treatment periods.
Cohort 1: Severe Renal ImpairmentEXPERIMENTALParticipants will receive a single dose of IXP on Day 1.
Cohort 1: Healthy ParticipantsEXPERIMENTALParticipants will receive a single dose of IXP on Day 1.

Interventions

NameTypeDescription
InaxaplinDRUGTablets for Oral Administration.
VX-147DRUGTablets for oral administration.
PlaceboDRUGTablets for oral administration.
IXPDRUGTablet for oral administration.
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Eligibility Criteria

Age Range18 Years to 67 Years
SexALL
Healthy VolunteersNo
Study Sites35

Key Inclusion Criteria: * Participant has an APOL1 genotype of G1/G1, G2/G2, or G1/G2 obtained with a Vertex designated investigational clinical study assay * Estimated Glomerular Filtration Rate (eGFR) of greater than or equal to (≥) 25 milliliter per minute (mL/min)/1.73m\^2 at screening Key Exc...

Countries:United StatesBelgiumBrazilCanadaColombiaFranceGhanaNetherlandsNigeriaPortugalPuerto RicoSpainUnited Kingdom
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Competitive Landscape -Focal Segmental Glomerulosclerosis 8 trials (matched to "Focal Segmental Glomerulosclerosis (FSGS)")

Recent Changes (Last 90 Days)

MEDIUMOct 15, 2026NCT05312879Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMOct 15, 2026NCT05312879Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWSep 21, 2026NCT05312879lastUpdatePostDate: changed
LOWSep 21, 2026NCT05312879lastUpdatePostDate: changed
MEDIUMSep 20, 2026NCT06794996TRIAL_REMOVED: changed
MEDIUMSep 20, 2026NCT06794996TRIAL_REMOVED: changed
MEDIUMSep 20, 2026NCT06794996TRIAL_REMOVED: changed
LOWSep 9, 2026NCT05312879lastUpdatePostDate: changed
LOWSep 9, 2026NCT05312879lastUpdatePostDate: changed
LOWAug 26, 2026NCT05312879lastUpdatePostDate: changed
LOWAug 26, 2026NCT05312879lastUpdatePostDate: changed
HIGHAug 20, 2026NCT06794996Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 20, 2026NCT06794996Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWAug 4, 2026NCT05312879lastUpdatePostDate: changed
LOWAug 4, 2026NCT05312879lastUpdatePostDate: changed

Frequently asked questions about IXP

What is IXP used for?

IXP, also known as inaxaplin, is an investigational small molecule being developed for focal segmental glomerulosclerosis (FSGS) and renal impairment. It is in Phase 1 clinical development by Vertex Pharmaceuticals Incorporated (VRTX).

Who makes IXP?

IXP, also known as inaxaplin, is being developed by Vertex Pharmaceuticals Incorporated, traded on the NASDAQ under the ticker VRTX. The company is conducting Phase 1 clinical trials to evaluate the drug's pharmacokinetics and safety.

What phase is IXP in?

IXP, also known as inaxaplin, is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Two Phase 1 studies have been completed, one in participants with renal impairment and one in participants with hepatic impairment.

What clinical trials is IXP in?

IXP, also known as inaxaplin, has been studied in two completed Phase 1 clinical trials. NCT05865171 evaluated pharmacokinetics and safety in participants with renal impairment, and NCT06529796 evaluated pharmacokinetics and safety in participants with mild or moderate hepatic impairment.

Is IXP the same as inaxaplin?

Yes, IXP is the same as inaxaplin. Both names refer to the same investigational small molecule being developed by Vertex Pharmaceuticals Incorporated for focal segmental glomerulosclerosis (FSGS) and renal impairment.